Eye-cervical Re-education and Motor Control Training Program in Chronic Neck Pain

Riphah International University52 enrolled

Overview

The study was conducted to determine the comparative effects of an eye-cervical re-education and motor control training program on pain, range of motion and functional disability in chronic neck pain

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Chronic Neck Pain

Interventions

Eye-cervical Re-education ProgramOTHER

Eye-cervical Re-education program was carried out consisting of 10 proprioceptive reprogramming intervention steps : Activation of eye muscles, Passive cervical mobilization with fixed gaze, Active cervical mobility with directed gaze , Global cervical motion exercise , Neck mobility with the trunk , Head reposition exercise (Active), Head reposition exercise (Passive), Free coordination exercise, Manual resistance coordination exercise and Oculo-cervical coordination with soft stimuli. All exercises were done ten times each. 24 sessions were conducted for 8 weeks, with 3 sessions scheduled every week.

Motor Control Training ProgramOTHER

Motor Control Training Program was performed in supine position. It consisted of four parts, which include the cranio-cervical flexor exercise; co-contraction of neck flexors and extensors; the cranio-cervical extensor exercise; and the scapular re-education exercises. An air-filled cuff was put behind the neck and the patient tried to make five progressive positions with an increase in ROM i.e. to make improvements in pressure of 22, 24, 26, 28 and eventually 30 mmHg on pressure gauge. All exercises were done ten times each. 24 sessions were conducted for 8 weeks, with 3 sessions scheduled every week.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Neck pain for minimum 3 months * Pain intensity on NPRS between 4 to 7 * Limited neck range of motion * Medical diagnosis (Grade-II Neck pain) as per classification by "Bone and Joint Decade 2000-2010" * Cervical discomfort resulting from repetitive motion or prolonged postures. Exclusion Criteria: * History of neck trauma/Fracture/Surgery/ Whiplash Injury * Systemic illness, rheumatic conditions, inflammatory joint disease * Other spine pathologies Cervical myelopathy / Fibromyalgia / Multiple Sclerosis/ Cervical radiculopathy * Tumor symptoms like high temperature, shivering, night pain

Locations (1)

Rafiq Medical Center

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Numeric Pain Rating Scale

Numeric Pain Rating Scale is a subjective measure using which patient's rate their pain. It consists of 11 points, having an overall score ranging from 0 to 10, where: 0, 1 - 3, 4 - 6, 7 - 10 represents no pain, mild, moderate and the most severe pain respectively